Individual
MRS. SANDRA C DRISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2401 US HIGHWAY 17 N, WAUCHULA, FL 33873-4704
(863) 773-3147
Mailing address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-4161
(863) 773-5056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9398571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000254800
—
FL
Enumeration date
11/06/2008
Last updated
01/15/2015
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